Scientific Federation
invites all the participants from all over the world to attend WorldCongress on Rheumatology & Orthopedics which will be held on September
24-25, 2018 in Madrid, Spain which includes Keynote presentations, Oral talks,
Poster presentations and Exhibitions
Carpal tunnel syndrome
happens once the median nerve that runs from the forearm into the palm of the
hand becomes ironed or squeezed at the articulatio radiocarpea. Pressure
on the nerve can be caused by an injury or sustained use for common activities
like typing, chopping, hammering, or writing. Then result may be pain, or weakness,
in the hand and wrist, diffuse up the arm. Evaluation of patients presenting
with carpal tunnel syndrome (CTS) symptoms has long relied on their clinical
assessment as well as nerve conduction studies. However, whilst standard
symptoms and positive provocative testing may enable identifying some of the
cases, the subjectivity and sensitivity of these measures results in very poor
reliability and diagnostic accuracy. Similarly, though studies revealed
sensitivity and specificity data in favour of electro diagnostic testing for
the CTS diagnosis, abnormal nerve conduction testing results do not surely
equate to the correct diagnosis. Nerve conduction studies can be normal in
early cases. Also, nerve studies were reported as not sensitive to change or
management, hence, a poor predictor of treatment outcomes. Inspite of some
limitations, ultrasonography was found to be a good tool not only for the CTS
diagnosis, but also for identifying the median affection severity. The search
for markers identifying key targets for the assessment of major outcomes in
musculoskeletal diseases has become one of the hot issues in rheumatology.
Possible markers should be objectively measured, indicatory of normal biology
as well as the pathologic process, indicator of response to therapy and
prognosis. It should also be a good indicator of modification of the
pathological process and help to identify (in early cases) the patients who are
going to respond quickly to therapy with the vision to tailor management to the
patient status. This presentation will discuss the outcomes of a recent study
investigating the feasibility of initial CTS assessment parameters for setting
up a treatment plan tailored to the patient’s needs and its ability to predict
treatment outcomes. In most
cases, a Chiropractic adjustment to the affected area is an extremely effective
solution. In some cases, a Chiropractic manipulation of the neck or spine can
also conduct as an effective treatment possibility. Chiropractic treatments,
along with kinesitherapy, stretching, and strengthening exercises, can in most
cases effectively reduce and eventually eliminate the indication associated
with CTS.
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